Pharmacy in the Bay,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12534/1.1 Issued in MS

Legal business name

PHARMACY IN THE BAY,LLC

Doing business as

Pharmacy in the Bay

Practice address

1140 Highway 90
Bay St Louis, MS 39520-2451

Phone

(228) 270-1055

NPI assigned

Aug 5, 2013

Last updated

Sep 11, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rudy Allen Letellier, RPHNPI 1477143691

Title

Owner/Pharmacist

Phone

(228) 270-1055

Specialties & licenses 1

Addresses

Other names 1

• Pharmacy in the Bay Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudy Letellier

  • Pharmacist
  • Waveland, MS
  • NPI 1477143691
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1023440690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2547",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395212547",
            "telephone_number": "228-270-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HIGHWAY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395202451",
            "telephone_number": "228-270-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY IN THE BAY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "LETELLIER",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "228-270-1055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "12534/1.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy in the Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Nicole Dieckmann Oberhofer
• Ochsner Clinic LLC (Ochsner Health Center - Hancock)
• Ochsner Medical Center - Hancock LLC (Ochsner Health Center - Port Bienville)
• Ochsner Mississippi, LLC (Ochsner Specialty Health Center - Bay St. Louis)
• Troy William Pepperman, MS, ATC
• Barry Pickreign
• Ansonya Renee Piernas
• Santana Polk, PCMHT
• Denise Elaine Powell, MD
• Matthew L Powell, D.C.

• Community/Retail Pharmacy in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.